Provider Demographics
NPI:1285766303
Name:SHTOYKO, ROBERT B (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:SHTOYKO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2081 RIDGE RD W
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2724
Mailing Address - Country:US
Mailing Address - Phone:585-225-9110
Mailing Address - Fax:585-225-2291
Practice Address - Street 1:2081 RIDGE RD W
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2724
Practice Address - Country:US
Practice Address - Phone:585-225-9110
Practice Address - Fax:585-225-2291
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0415461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice